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Home My WebLink About1055 SAGEBRUSH RD; ; CB053057; Permit-(h\0~ '-J':---' . / ·. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08·24-2005 \ Electrical Permit Permit No: CB053057 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1055 SAGEBRUSH RD CBAD St: TP ELEC Status: Parcel No: 2146442000 Lot #: 0 Applied: Reference #: Project Title: PLEASANT BAY-TEMP POWER POLE Applicant: POWER PLUS 436 N QUINCE ST ESCONDIDO CA 92025 760 839-9430 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: STANDARD PACIFIC CORP 5750 FLEET ST #200 CARLSBAD CA 92008 ISSUED 08/24/2005 AMA 08/24/2005 08/24/2005 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10-00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 lnspecto · FINAL.fe,~~ROVAL Date: r JI -D ) 5341 08/2•~/05 JOO::? OJ. :)2 ,'.=:1;:;F" Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.H You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to 1imely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f xa lion fwhi h vi I n ivenaN 20, JO PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ij-lnJllli~ Address (include Bldg/Suite #) Legal Description Lot No. SubdivisiQn Name/N4mber Assessor's Parcel # Existing Use Description of Work ,#of Stories Name FOR OFFICE USE O~ Y PLAN CHECK No, l'/Jz0.SJoS7 EST. VAL. _________ _ Plan Ck. Deposit------,'!--,--,,_ Validated B'i'i:,o;,+.,..--,+--s:--::-1-c,,.,C..l.._ Date, __ -+~....fl.~~"'-'~----- Unit No. Phase No. Total # of units Proposed Use I of Bedrooms # of Bathrooms ;:,~~·-"1·· 1· 11111·•·1·1111""R'l"I/IMll!lllil' 1··· 1·■-""-"·~:,":""·'""-"~:;,,","""'~::!,t~"~•i"i""" l:Wlilliill.imNr.m.~~.W:r:«mq;k~~~~'.-~Jml'lt@li~~~-r~tK1!1Mfflmmt1l'.~~~..ml!ffl'!I_ 11,. ... ,,,-.s •.... , .. ,:r!!i,'§lfi";~., Name Address City State/Zip Telephone # Ii ·•~-ll!i!~-- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to co~struct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged exemption. violation e tion 7031.5 by any applicant for a permit subjec 'tbe, pplicant to a civil penalty of not mor,.,B:r hundre30I~s 9°!!)'1 0 Name Address City State/Zip Telephone ti State License # 5z ':z, _::,":7 C. License Class C (' ~ , City Business License # _______ _ Designer Name State License # Address City State/Zip Telephone {ti , ~~1~~~~11~\ir0f:Z::koff~hlt\:A,~l~~~~~~~~jif~$?/J1~~\\~±'~~J~:lli~IB~'.i~~~l,,~~¥~~~£li~f~®iifil¼i Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's co ensation insur ce carrier a licy number are: Insurance Company PolicyNo. l,(.}C / [7~790 Expiration Date Y 3 / rCJC. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so aa to become subject to the Workers' Compenaation Laws of California. WARNING: Failure to secure work.era' compensation coverage Is unlawful, and lhall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I$100,000), In addition to the cost of compensation, damages u provided for In Section 3708 of the Labor code, Interest and attorney'• fees. SIGNATUREiiiiiiiiiriiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii!! DATE ~lfmiillliml~III ~·1-r~-~ifii!liililli~liirM-iijj''i'~!c~I I hei'eby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of. property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ________________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number/ type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ~!ilm&ill!!mlm1twwll!uM1,r·•, ·:ii~· Is the applicant or futurEI building occupant required to submit a business plan, acutely haz.srdous materials registration form or risk management and prevention program under Sections 26506, 26633 or 26634 of the Presley-Tanner Hazardoi.Js Substance Account Act? 0 YES D NO Is the applicant Or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outEir boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS -~-.. ".' ,,.. "!Jil!iil,'r!illmi!ll!!ll!i- I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bulldlng Official under the provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit Is not commenc within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc f a r of 180 days (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance